Prognostic Value of Interferon Gamma Release Assays in Predicting Active Tuberculosis Among Individuals With, or at Risk of, Latent Tuberculosis Infection
NCT01162265 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 10000
Last updated 2020-10-01
Summary
The objective of this study is to assess the efficacy of the two current TB (tuberculosis) blood tests (Interferon Gamma Release Assays (IGRA)) compared with the standard skin test (Mantoux Tuberculin Skin Test (TST)), for predicting active tuberculosis among those at increased risk of TB. Those at increased risk are defined as either newly arrived immigrants or people who have been in contact with TB cases. The study will also provide information on the cost effectiveness of different testing strategies, such as the two step testing approach recommended by NICE. The study is to be funded by the NIHR Health Technology Assessment programme.
10,000 participants will be recruited from 12 hospitals and a network of GP surgeries in London. All participants will have the skin test and blood taken for both assays. Disease status of participants will then be followed up for an average of 24 months using the national register of clinical reports, a phone call and the national microbiological database. The risk of developing active disease is highest in the first two years after exposure. During followup there will be no additional diagnostic procedures unless symptoms occur, i.e. in line with current NICE policy. A sub group of patients, selected as a random 25% of participants, will have a repeat IGRA test shortly after the first test to investigate whether the skin test affects the result of the blood test.
Conditions
- Tuberculosis
- Latent Tuberculosis
Sponsors & Collaborators
-
Imperial College London
collaborator OTHER -
Queen Mary University of London
collaborator OTHER -
University College, London
collaborator OTHER -
Brunel University
collaborator OTHER -
University of Birmingham
collaborator OTHER -
Public Health England
lead OTHER_GOV
Principal Investigators
-
Ajit Lalvani, MD, PhD · Imperial College London
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2010-08-31
- Primary Completion
- 2015-06-30
- Completion
- 2016-06-30
Countries
- United Kingdom
Study Locations
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